Claims Adjuster

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🕒 July 2

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Logo of battleface

battleface

51 - 200 employees

Founded 2017

👥 B2C

🛡️ Insurance

✈️ Travel

💰 Venture Round on 2021-05

B2C • Insurance • Travel

battleface is a travel insurance company designed for modern travelers, offering coverage tailored for adventure and diverse travel experiences. Founded initially for the UK and European markets, battleface has expanded globally to cater to travelers in the United States, Australia, and Canada. The company prides itself on a service-oriented approach, providing 24/7 travel assistance, a streamlined digital claims process, and policies that are adaptable to the specific needs of individual travelers or groups.

📋 Description

• Investigate, evaluate, and resolve travel medical claims end-to-end • Adjudicate benefits per policy terms and statutory requirements • Process invoices through cost-containment networks • Maintain clear, timely updates to customers, providers, and partners on claim status • Document thoroughly in the claims system and ensure complete, high-quality files • Assess the need for medical management and escalate appropriately • Process bills in accordance with statutory requirements and internal controls • Identify potential fraud/waste/abuse and collaborate with investigative team • Deliver excellent written and verbal customer communication throughout the claim lifecycle • Perform additional responsibilities as needed to support the team and our customers

🎯 Requirements

• Proven experience handling accident and sickness/travel medical claims, including complex domestic and international cases • Current (or ability to obtain) state adjuster licensing • A belief that claims processing should enhance, not hinder, the customer experience • Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving, brainstorming, and researching • Comfort working with data, forms, spreadsheets, and policy wordings

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options

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